MRS. KELLIE P WATSON (NPI# 1750590378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750590378 |
Entity Type | Individual |
Full Name | MRS. KELLIE P WATSON |
Credential | MSP |
Practice Address |
420 Pat Rd Lexington SC 29073-8435 |
Mailing Address |
1488 Old 96 Indian Trl Batesburg SC 29006-9602 |
Practice Telephone | 8037675153 |
Practice Fax Number | 8039550972 |
Mailing Telephone | 8036856225 |
Enumeration Date | 2007-05-21 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | 3812 | SC | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | NATIONAL LICENSE | 12028242 | 01 |
SC | STATE LICENSE | 3812 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467912022 | Kellie Michelle Watson | Physical Therapy Assistant | 1927 Memorial Blvd, Murfreesboro, TN 37129-1545 | 2019-03-20 |
1447723523 | Kellie Ann Watson | Behavioral Analyst | 9197 W 6th Ave Ste 1000, Lakewood, CO 80215-5109 | 2019-01-10 |
1992206742 | Kellie Watson | Nurse Practitioner | 6140 W Curtisian Ave, Boise, ID 83704-8880 | 2018-02-27 |
Street Address |
420 PAT RD |
City | LEXINGTON |
State | SC |
Zip Code | 29073-8435 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821031238 | Suzette M Freeman | Speech-Language Pathologist | 420 Pat Rd, Lexington, SC 29073-8435 | 2006-06-14 |
1225117666 | Speech Connections LLC | Occupational Therapist | 420 Pat Rd, Lexington, SC 29073-8435 | 2006-11-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710464953 | Alexandra Maria Schutz | Dentist | 5443 Platt Springs Rd, Lexington, SC 29073 | 2018-07-20 |
1649769704 | Alecia Kristy Mckellar | Nurse Practitioner | 132 Mclee Road, Lexington, SC 29073 | 2018-05-04 |
1457712143 | Bela Family Dentistry of White Knoll | Dentist | 1915 Southlake Dr., Lexington, SC 29073 | 2016-03-09 |
1326431404 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 4458 Augusta Road Suite 1b, Lexington, SC 29073 | 2015-03-12 |
1821419102 | Megan Gadson | Counselor | 1068 South Lake Dr., Lexington, SC 29073 | 2014-01-03 |
1780937789 | Craig Elliott Pfeifer | Specialist/Technologist | 755 Colina Ct, Lexington, SC 29073 | 2012-10-16 |
1376893875 | Mary Glenn | Pharmacist | 1071 S. Lake Dr., Lexington, SC 29073 | 2012-09-12 |
1831471119 | Adam Dutton Redmond | Military Health Care Provider | 4346 Augusta Road, Lexington, CA 29073 | 2011-09-13 |
1033341433 | White Knoll Dentistry, LLC | Clinic/Center | 5545 Platt Springs Rd, Lexington, SC 29073 | 2009-08-18 |
1073748687 | Jacqueline Abrams | Behavioral Analyst | 460 Pin Oak Dr, Lexington, SC 29073 | 2009-05-27 |
Find all providers in zip 29073 |
Taxonomy Code | 235Z00000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Speech-Language Pathologist |
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427655596 | Charity R. Goings | Speech-Language Pathologist | 101 Saluda Pointe Dr Unit 612, Lexington, SC 29072-7061 | 2020-10-02 |
1669084349 | Holly E Steiger | Speech-Language Pathologist | 110 Hartwell Ave # 350, Lexington, MA 02421-3118 | 2020-08-23 |
1477170769 | Lauren Elizabeth Shnowske | Speech-Language Pathologist | 740 S Limestone Suite B301, Lexington, KY 40536-0001 | 2020-07-02 |
1093331001 | Mackenzie Mize Usher | Speech-Language Pathologist | 3108 Majestic View Walk, Lexington, KY 40511-8882 | 2020-06-25 |
1609492883 | Lauren Hogue | Speech-Language Pathologist | 621 Green Ridge Ct, Lexington, KY 40517-1934 | 2020-06-23 |
1982220778 | Valerie Lane Swager | Speech-Language Pathologist | 487 Highway 378, Lexington, SC 29072-9177 | 2020-06-17 |
1508490038 | Inspire Speech and Feeding LLC | Speech-Language Pathologist | 114 N Church St, Lexington, SC 29072-2808 | 2020-02-24 |
1043858350 | Karen Small Boatwright | Speech-Language Pathologist | 1118 Old Cherokee Rd, Lexington, SC 29072-8142 | 2019-12-17 |
1699313106 | Ciera Mills | Speech-Language Pathologist | 993 Mason Headley Road, Easterseals Cardinal Hill, Lexington, KY 40504-2246 | 2019-12-16 |
1043856024 | Sydney Elise Colburn | Speech-Language Pathologist | Easterseals Cardinal Hill, 993 Manson Headley Road, Lexington, KY 40504-2246 | 2019-11-25 |
Find all providers in LEXINGTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.